Selma Family Care PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SELMA FAMILY CARE PC

Practice address

Selma Family Care, PC
203 Vaughan Memorial Drive
Selma, AL 36701-6950

Phone

(334) 375-8007

NPI assigned

May 4, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sean B Bohannon, MDNPI 1881851491

Title

Owner/

Phone

(334) 375-8007

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17793/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sean Brian Bohannon, M.D.

  • Family Medicine Physician
  • Selma, AL
  • NPI 1881851491
  Medicare reassignment Care Compare group NPD Authorized official
• Tamarah Mason, CRNP

  • Family Nurse Practitioner
  • Selma, AL
  • NPI 1104867837
  Medicare reassignment Care Compare group NPD
• Lauren Wendland, NP

  • Primary Care Nurse Practitioner
  • Selma, AL
  • NPI 1366901076

  Single Specialty

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525392000000",
    "number": "1750870812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 570",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367020570",
            "telephone_number": "334-375-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SELMA FAMILY CARE, PC",
            "address_2": "203 VAUGHAN MEMORIAL DRIVE",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016950",
            "telephone_number": "334-375-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELMA FAMILY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-05-04",
        "status": "A",
        "authorized_official_last_name": "BOHANNON",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/",
        "authorized_official_telephone_number": "334-375-8007",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selma City
• Selma Dallas Prevention Collaborative
• Selma Doctors Clinic PC
• Selma Doctors Clinic, PC
• Selma Eye Associates, Inc
• Selma Family Practice Optometry, Inc.
• Selma Health and Rehab LLC
• Selma Heart Institute,PC
• Selma Innovation Technology Training Institute
• Selma Kidney Care Inc

• Family Medicine Physician in Selma, AL
• Providers in Selma, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.